British Journal of Sports Medicine最新文献

{"title":"Correction: Medium-term results of arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of femoroacetabular impingement syndrome: a multi-centre randomised controlled trial","authors":"BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine","doi":"10.1136/bjsports-2023-107712corr1","DOIUrl":"https://doi.org/10.1136/bjsports-2023-107712corr1","url":null,"abstract":"Palmer A, Fernquest S, Rombach I FAIT Study Group, et al. Medium-term …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"52 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144645377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Context matters","authors":"Sian Knott (Harries), Colin Paterson","doi":"10.1136/bjsports-2025-110468","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110468","url":null,"abstract":"“For me, context is the key—from that comes the understanding of everything.” – Kenneth Noland On behalf of the Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSEM), we are delighted to welcome you to the August 2025 edition of the British Journal of Sports Medicine (BJSM). The BJSM continues to champion education for all practitioners interested or involved in sports and exercise medicine, and one recurring message throughout BJSM publications is clear: context matters. Whether in rehabilitation, athlete development, professional education or understanding environmental stressors in sport, the importance of contextual awareness emerges again and again. In this edition, that theme deepens—emphasising the need to understand different populations to truly excel in sports and exercise medicine. This BJSM edition places a spotlight on female and …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"143 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reduced head-to-head contact rates in elite-level women's rugby league following a season-long tackle technique coaching intervention.","authors":"Mily Spiegelhalter,Sean Scantlebury,Omar Heyward,Cameron Owen,James Brown,Sharief Hendricks,Susan H Backhouse,Marelise Badenhorst,Stuart Barrow,Lucy Jane Chesson,Laura Fairbank,Andrew J Gardner,Robert Hicks,Richard Johnston,Peter Mackreth,Gemma Phillips,Dave Rotheram,Anna Stodter,Keith A Stokes,Kevin Till,Dane Vishnubala,Ben Jones","doi":"10.1136/bjsports-2024-109048","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109048","url":null,"abstract":"OBJECTIVEWithin women's rugby league (n=12 teams), we (1) identified modifiers for head-to-head contacts informed by sport partners (eg, players, coaches, match officials); (2) compared head-to-head contact and concussion rates to the previous two seasons following a one-season tackle technique coaching intervention and (3) explored barriers and enablers of the intervention.METHODSA multi-method design was used. Part 1: Mitigation strategies were identified by sport partners reviewing footage of head-to-head contacts, informing the development of a coach-targeted tackle technique intervention. Part 2 evaluated the intervention, comparing head-to-head contact and concussion incidence rates (IRs). Interviews with coaches and players (n=6) explored barriers and enablers to effective implementation and compliance with the intervention.RESULTSSport partners reported tacklers were more responsible for head-to-head contacts and lowering the tackle height was the most frequently suggested mitigation strategy preintervention and postintervention. Head-to-head contact rates were significantly lower during the intervention than preintervention (IR 59; 95% CI 56 to 62 vs IR 28; 95% CI 25 to 30/1000 tackle events); however, concussion rates showed no difference. Perceived barriers to the intervention included underdeveloped physical and technical foundations of players, lack of knowledge and understanding of the intervention and its purpose, and the environmental context and lack of resources in women's rugby league. Beliefs about the consequences of the tackle and concussion were perceived as barriers and enablers.CONCLUSIONSHead-to-head contact rates were significantly lower; however, concussion rates did not decrease following a tackle technique coaching intervention. Reduced head-to-head contacts are potentially due to an increased focus on head injury reduction and increased player/coach awareness and support.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"96 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144756052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resistance training in pregnancy: systematic review and meta-analysis of pregnancy, delivery, fetal and pelvic floor outcomes and call to action.","authors":"Christina Prevett, Jessica Gingerich, Allison Sivak, Margie H Davenport","doi":"10.1136/bjsports-2024-109123","DOIUrl":"10.1136/bjsports-2024-109123","url":null,"abstract":"<p><strong>Objective: </strong>Resistance training (RT) has wide-ranging health benefits that may extend to pregnancy. This systematic review aimed to evaluate the influence of RT as a sole intervention or as part of a multicomponent exercise programme on pregnancy, delivery, fetal and pelvic floor outcomes.</p><p><strong>Design: </strong>A systematic review and meta-analysis were performed. Risk of bias was performed using the Johanna Briggs Institute risk of bias tool.</p><p><strong>Data sources: </strong>Six databases were searched from inception to 15 March 2024.</p><p><strong>Eligibility criteria: </strong>Studies were eligible for inclusion if pregnant individuals performed a RT intervention of any intensity, compared with usual care or a non-RT intervention. Outcomes included pregnancy outcomes (rates of gestational hypertension, pre-eclampsia, gestational diabetes and perinatal mood disorders), delivery outcomes (rates of caesarean section, perineal tearing, instrumented delivery and length of labour), fetal outcomes (birth mass, microsomia, macrosomia and gestational age) and rates of pelvic floor disorders.</p><p><strong>Results: </strong>Overall, 50 studies (47 619 participants) from 14 countries were included in this review. There were 45 randomised controlled trials, 3 non-randomised interventions and 2 observational studies. Sixteen studies were considered low risk of bias, 27 studies were of moderate risk of bias and seven were classified as high risk of bias. Ninety per cent of studies were multicomponent programmes, and the dosage of RT interventions was generally low-to-moderate. Reporting of RT prescription, progression and use of appropriate loading guidance was poor. RT was associated with a reduction in the odds of gestational hypertension (OR 0.42, 95% CI 0.27 to 0.66; I²=0%), gestational diabetes (OR 0.62, 95% CI 0.48 to 0.79; I²=0%), perinatal mood disorders (OR 0.48, 95% CI 0.32 to 0.73; I²=0%) and macrosomia (OR 0.67, 95% CI 0.50 to 0.88; I²=23%) compared with control groups.</p><p><strong>Conclusions: </strong>RT, alone or as part of a multicomponent intervention, has significant health benefits during pregnancy. As the majority of interventions are multicomponent, and the aerobic programmes are more appropriately dosed, understanding the impact of RT on the pregnant person is challenging, and studies using currently accepted RT guidelines for exercise dosage and progression are needed.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1173-1182"},"PeriodicalIF":16.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise in axial spondyloarthritis: a missed opportunity in routine care.","authors":"Raj Amarnani","doi":"10.1136/bjsports-2025-110466","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110466","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"150 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144756053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing the preventable: addressing fatal neck lacerations in ice hockey and the urgent need for mandatory protection","authors":"Franck Brocherie","doi":"10.1136/bjsports-2025-110232","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110232","url":null,"abstract":"Ice hockey is a fast-paced, physically demanding team sport that is characterised by its intensity, agility and toughness. Nonetheless, the inherent risks associated with this sport are notably due to the use of skates with sharp blades. While the majority of injuries in hockey are orthopaedic1 or concussive,2 mainly due to player-to-player contact/collision/falls,3 rare but catastrophic incidents involving neck lacerations (ie, 0.2% among US adult ice hockey players)4 have exposed a critical gap in player safety. The tragic death of a professional player in October 2023, after accidentally receiving a fatal neck wound by an opponent’s skate during an Elite Ice Hockey League in the UK, reignited an urgent conversation about protective gear and preventive policies.5 This editorial aims to briefly review the challenges that continue to hinder the widespread adoption of life-saving equipment. Incidents of neck lacerations caused by skate blades are exceptionally rare4 but invariably alarming each time they occur. Among the most widely reported incidents are cases in which professional ice hockey players sustained severe neck lacerations from skate blades during collisions, resulting in substantial blood loss on the ice. Survival in these cases was made possible through immediate first aid and prompt, effective emergency surgery. These non-lethal yet graphic cases (and their accompanying psychological trauma for athletes but also spectators) received large media coverage and drew momentary attention to neck protection. …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"19 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise based cardiac rehabilitation for atrial fibrillation: Cochrane systematic review, meta-analysis, meta-regression and trial sequential analysis","authors":"Benjamin JR Buckley, Linda Long, Deirdre A Lane, Signe Risom, Charlotte Jane Fitzhugh, Selina K Berg, Pernille Palm, Kirstine L Sibilitz, Jesper H Svendsen, Christian Gluud, Ann-Dorthe Zwisler, Gregory Y H Lip, Lis Neubeck, Rod S Taylor","doi":"10.1136/bjsports-2024-109149","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109149","url":null,"abstract":"Objective To undertake a contemporary review of the impact of exercise based cardiac rehabilitation (ExCR) for patients with atrial fibrillation (AF). Data sources CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL, WoS Core Collection, LILACS and trial registers were searched from inception up to 24 March 2024. Eligibility criteria Randomised clinical trials (RCTs) comparing ExCR with any non-exercise control. Design Random effect meta-analyses presented as effect estimates and 95% CIs. Meta-regression examined study level effect modification. Cochrane risk of bias, GRADE (Grading of Recommendations Assessment, Development and Evaluation) and trial sequential analysis (RTSA) were applied. Results 20 RCTs (n=2039) with a mean follow-up of 11 months showed that ExCR did not impact all cause mortality (8.3% vs 6.0%, relative risk (RR) 1.06, 95% CI 0.76 to 1.48) or serious adverse events (2.9% vs 4.1%, RR 1.30, 95% CI 0.66 to 2.56) but did reduce AF symptom severity (mean difference (MD) −1.61, 95% CI −3.06 to −0.16), AF burden (MD −1.61, 95% CI −2.76 to −0.45), episode frequency (MD −0.57, 95% CI −1.07 to −0.07), episode duration (MD −0.58, 95% CI −1.14 to −0.03), AF recurrence (RR 0.68, 95% CI 0.53 to 0.89), and improved exercise capacity (maximal oxygen consumption (VO2 peak) MD 3.18, 95% CI 1.05 to 5.31 mL/kg/min). There was benefit for the mental component but not the physical component of a health related quality of life questionnaire. No differential effects across AF subtype, ExCR dose, or mode of delivery were seen. Conclusion Meta-analyses of RCT evidence for ExCR in patients with AF demonstrated several clinical benefits without an increase in serious adverse events. GRADE and RTSA assessments indicated further high quality and adequately powered RCTs are needed. Data sharing not applicable as no datasets generated and/or analysed for this study. Meta-analysis of aggregate data.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"6 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144737169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A voice for Tom: an urgent call for more research into neurodegenerative disease and contact sport","authors":"Alexandra Ross","doi":"10.1136/bjsports-2025-110479","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110479","url":null,"abstract":"The risk of developing motor neuron disease (MND) in your lifetime is between 1 in 300 and 1 in 450.1 2 You think it will never affect your loved ones… until it does. On 17 July 2024, my partner Tom (figure 1) received this earth-shattering, terminal diagnosis, aged just 29. On the same day, ‘The UK Rugby Health Study’ was published, identifying potential biomarkers connecting concussion to MND and highlighting the need for further research.3 In less than a year, Tom went from a marathon-running, karaoke-singing rugby player to having significant difficulty speaking, swallowing and using his limbs. What has remained constant is his fierce friendship, his endless kindness, his humour and his passion and action as an environmental consultant, striving to make the world a better place for the people he may one day leave behind. Figure 1 Tom and Alex(andra) ran a half marathon together in November 2023. Tom was already experiencing symptoms at this time that would …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"127 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144737171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of exercise in atrial fibrillation management","authors":"Sarandeep Marwaha, Sanjay Sharma","doi":"10.1136/bjsports-2025-110191","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110191","url":null,"abstract":"Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice and presents a significant and growing public health challenge. In a rigorously conducted Cochrane systematic review, meta-analysis and meta-regression, Buckley et al 1 examine the efficacy and safety of exercise-based cardiac rehabilitation (ExCR) in individuals with AF.1 This editorial seeks to interpret their findings in the context of contemporary sport and exercise medicine, exploring how structured exercise plays a role in the management of patients with AF. If we were to assess the global socioeconomic landscape through the lens of health, the rising incidence and prevalence of AF and the strategies to mitigate this widespread trend would occupy a central place in the minds of healthcare providers and clinicians. AF is the most frequently diagnosed arrhythmia, with a global prevalence exceeding 59 million.2 Its prevalence increases significantly with age, particularly beyond 65 years. The arrhythmia is strongly associated with stroke and heart failure, making it a substantial contributor to both morbidity and mortality. Global trends demonstrate a doubling in the incidence of AF over the past 30 years, with higher rates among males compared with females. Global deaths attributed to AF have almost tripled in recent decades, primarily attributable to the increased incidence of cases among males (42 511 in 1990 to 121 548 in 2019).3 Individuals of both sexes aged between 65 and 69 years demonstrate the highest incidence rates, which peak in the 75–79 year age group.3 Disability-adjusted life years (DALYs) are generally lower for females than males across all age groups. DALYs are predominantly linked to high levels of systolic blood pressure (39%) and high body mass index (BMI, >20%), both of which are risks that can be mitigated through regular exercise. Rising risk factors such as obesity, diabetes, hypertension, physical …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"75 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144737172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turning our attention towards dual tasking in shoulder instability rehabilitation","authors":"David Lalor","doi":"10.1136/bjsports-2025-109634","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109634","url":null,"abstract":"Shoulder dislocations present a significant challenge to the global health system. With an unacceptable recurrence rate of 39% in the first year after first-time traumatic anterior shoulder dislocation, advancing shoulder instability management remains crucial.1 Currently, it is recommended that non-surgical management of shoulder instability should include immobilisation, exercises focusing on range of motion, progressive strength, motor control and rate of force development, and sport-specifics and psychological readiness.2 This editorial proposes the addition of dual tasking to typical non-operative management as a means of enhancing its efficacy. Dual tasking, or ‘divided attention’, describes the ability to simultaneously provide attention to or switch between two or more stimuli.3 The limited resource theory of divided attention implies that only a single pool of attentional resources is divided among competing stimuli, directly influencing sensorimotor integration and task performance.3 This supports the inclusion of dual tasking in rehabilitation, with the hypothesis that athletes who are more competent at performing motor tasks while simultaneously attending to stimuli in their environment may have improved outcomes, such as reduced risk of injury.4 To date, the traditional non-surgical management of shoulder instability has been built around strength-based rehabilitation, secondary to clinical reasoning in physiotherapy tending to follow a biomedical framework of pursuing an observable objective deficit with a corrective intervention.5 This objective lens would assume that strength and function after shoulder instability are correlated in a somewhat linear fashion. However, in the case of shoulder instability, …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"12 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}